HomeMy WebLinkAboutSpecial Inspection Notice 2006-1-31
~ -\ EC.057
Job Numbe,( DfYJ'l7i:::E) -C6727
ELECTRICAL PERMIT - CONTRACTOR
INSPECTION LINE: 726-3769
City of Springfield Fax Line 541-726-3676
225 Fifth Street Electrical Inspector 541-726-3663
Springfield, OR 974n General information 541-726-3759
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Owners Name: &~ IAJrf'rkf nr'\. Date:kf4-oc-,
Description of Work' ~:~/) ('(f) C'l ~ ~
COMMERCIAL){"' RESID~USTRIAL 0 PUBLIC 0
~ Electrical Contract~r: nJ\\D. ~
Supervising Electrician Signature: /-1. ~
Supervisors License #: S3..IL 9' t!J ~ Expires: /" -1-0 ~
Construction Contractors Board #: 4-7 q { IJ Expirb""
THIS PERMIT IS NOT VALID UNTIL SECTIONS I & 2 ABOVE HAVE
BEEN COMPLETED AND SIGNED BY THE SUPERVISING
ELECTRICIAN PRIOR TO AN INSPEC1'lON BEING REQUESTED
: ~:pE~~:TYPE ApPROVAL ~~~ :''7 I INSPECTOR
I UNDERGROUND pj L~ I
IUNDERSLAB (, ~
[ROUGH
[SERVICE
I lOW VOLTAGE
I MANUF HOME SEFlVICE
I MANUF HOME CONNECTION
SIGN
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I FINAL
I TO BE REMOVED ONLY BY BUILDING OFFICIAL I